Workhouse Connections
2015 Booking Form
Friday 27th and Saturday 28th February
Please complete all three sections of this booking form, sign it, and return to:
The Workhouse Museum, 75 Allhallowgate, Ripon, North Yorkshire, HG4 1LE
Tel: 01765 690799 Email: kathrynbedford@riponmuseums.co.uk
Each application must be made on a separate form – photocopies are acceptable.
A: Delegate details:
Forename:
Surname:
Address1:
Address2:
Town:
County:
Postcode:
Email:
Home Tel:
Mobile Tel:
Do you have any special Requirements?
mobility/access needs
dietary requirements
If so please give details: …………………………………………………………………………………………………………………
B: Session booking: All session booking is on a first come first served basis. If your first choice is not
available we will contact you with alternatives
B1. On the Friday morning there are two tours taking place, each will last an hour and run twice.
Please indicate which you would like to attend:
10.00 Workhouse
or
10.30 Cathedral
11.30 Workhouse
or
11.30 Cathedral
B2. If you would like a 10 minute one-to-one session with one of our experts please indicate who
you would prefer it to be with:
Dr Andy Grit
Peter Park
Sue Dennison
Piers Dudgeon
No preference
If there is a talk you particularly want to avoid your private session clashing with please say so below,
be aware this may reduce your chance of speaking to your preferred option:
C: Payment Details: Full payment must be made by 13th February
The fee for Workhouse Connections is £180 per person. It covers two full days of activities, lunch
and refreshments both days, and dinner on Friday. It does not include accommodation. Special deals
are available with a variety of local accommodation providers, details can be found at
http://riponmuseums.co.uk/workhouse_connections/.
I enclose a cheque (in Pounds Sterling made payable to Ripon Museum Trust) for £180.
Today I am paying the total fee directly into Ripon Museum Trust’s Bank account: sort code 2037-13; account number 03802434; reference WorkCon[your initials], eg WorkConKB.
Please debit the total fee from:
Visa Credit Card*
MasterCard*
Visa Debit card
* We add a 2% handling charge for payments using a credit card - no charge for a debit card.
Card no:
Expiry date (MM/YY):
Name
on card:
Signed:
SIC (3 digits on back):
Today’s date:
Terms and Conditions
 Speakers are accurate at the time of going to print, Ripon Museum Trust reserves the right to substitute
speakers in the event of cancelation.
 Please contact us by telephone if you need to cancel your place. Our office hours are Monday to Friday
9am-5pm.
 If you cancel before 1st February you are entitled to a full refund less a £10 administration fee per person. If
you cancel between the 1st and 13th February you will receive a 50% refund less an administration fee of
£10 per person. After 13th February no refund will be available.
 Ripon Museum Trust operate a strict Cancellation policy, and would therefore strongly advise that you take
out insurance cover in case you are unable to attend your event at short notice.
 Ripon Museum Trust is not liable for any losses incurred if you have to cancel your booking for any reason.
 Although unlikely, we do reserve the right to cancel the event due to circumstances beyond our control. If
this occurs we will contact you to provide a refund.
 Ripon Museum Trust is not liable for any additional losses incurred as a consequence of us cancelling the
event e.g. accommodation or transport.
 Ripon Museums may retain your details in our mailing list to contact you about similar events in future.
Your details will never be passed on to third parties. If you do not wish us to keep you details please tick
here
.
I have read and agree to the Terms and Conditions above:
Signed: …………………………………………………………………………………. Date: …………………………..
Office use only
Form Received:
Delegate No:
Fee received: